CRNE Exam Prep

Category - Professionalism

As the RN is charting on a client, he realizes that the medication bag that was hung for his client an hour ago had twice the dose it should have. Upon reviewing the doctor’s orders, the nurse realizes the order had been transcribed incorrectly on to the medication record. What should the nurse do?
  1. Go to the head nurse and complain that someone transcribed the order incorrectly.
  2. Nothing, and hope no one notices the error.
  3. Erase the incorrect entry and correct it to what was originally written by the doctor.
  4. Check on the client right away, including taking vital signs, then immediately report the incident to your supervisor.
Explanation
Answer: D - When a medication error occurs, you should check on the client right away, including taking a set of vital signs. You must also report the incident immediately to your supervisor, who will then report it to the doctor. Though it can be a frightening and unsettling experience, a nurse’s first priority is to the care and safety of his/her clients, and the nurse must report such incidences, even if no harm has come to the client.
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